When you examine the START triage system, increased respirations are a major landmark for determining patient severity.  However, during a chemical incident in which respiratory embarassment occurs--such as in an organophosphate or nerve agent incident--or when the TIC causes respiratory distress, the breathing rate can be above 30bpm--which makes the patient RED.  Using START would give a remarkably high number of RED patients--possibly reducing the effectiveness of your incident management strategy and simply moving the incident to the ER.  Has anyone had any experience (actual or excercise) with the use of alternative triage systems developed for contaminated environments?